| NPI | 1972556942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE GRIFFIN Credentialing Coordinator 856-356-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 22445 A) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-03-06 |